Provider Demographics
NPI:1912670977
Name:BOIRE, ABBY MAE (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:MAE
Last Name:BOIRE
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:DR
Other - First Name:ABBY
Other - Middle Name:MAE
Other - Last Name:LAHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:987 CUMBERLAND HEAD RD
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-7008
Mailing Address - Country:US
Mailing Address - Phone:518-852-5379
Mailing Address - Fax:
Practice Address - Street 1:987 CUMBERLAND HEAD RD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-7008
Practice Address - Country:US
Practice Address - Phone:518-852-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist